Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers
The treatment armamentarium in pediatric Crohn disease (CD) is very similar to adult-onset CD with the notable exception of the use of exclusive enteral nutrition (EEN [the administration of a liquid formula diet while excluding normal diet]), which is used more frequently by pediatric gastroenterol...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2015/509497 |
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| author | Johan Van Limbergen Jennifer Haskett Anne M Griffiths Jeff Critch Hien Huynh Najma Ahmed Jennifer C deBruyn Robert Issenman Wael El-Matary Thomas D Walters Cheryl Kluthe Marie-Eve Roy Elizabeth Sheppard Wallace V Crandall Stan Cohen Frank M Ruemmele Arie Levine Anthony R Otley |
| author_facet | Johan Van Limbergen Jennifer Haskett Anne M Griffiths Jeff Critch Hien Huynh Najma Ahmed Jennifer C deBruyn Robert Issenman Wael El-Matary Thomas D Walters Cheryl Kluthe Marie-Eve Roy Elizabeth Sheppard Wallace V Crandall Stan Cohen Frank M Ruemmele Arie Levine Anthony R Otley |
| author_sort | Johan Van Limbergen |
| collection | DOAJ |
| description | The treatment armamentarium in pediatric Crohn disease (CD) is very similar to adult-onset CD with the notable exception of the use of exclusive enteral nutrition (EEN [the administration of a liquid formula diet while excluding normal diet]), which is used more frequently by pediatric gastroenterologists to induce remission. In pediatric CD, EEN is now recommended by the pediatric committee of the European Crohn’s and Colitis Organisation and the European Society for Paediatric Gastroenterology Hepatology and Nutrition as a first-choice agent to induce remission, with remission rates in pediatric studies consistently >75%. To chart and address enablers and barriers of use of EEN in Canada, a workshop was held in September 2014 in Toronto (Ontario), inviting pediatric gastroenterologists, nurses and dietitians from most Canadian pediatric IBD centres as well as international faculty from the United States and Europe with particular research and clinical expertise in the dietary management of pediatric CD. Workshop participants ranked the exclusivity of enteral nutrition; the health care resources; and cost implications as the top three barriers to its use. Conversely, key enablers mentioned included: standardization and sharing of protocols for use of enteral nutrition; ensuring sufficient dietetic resources; and reducing the cost of EEN to the family (including advocacy for reimbursement by provincial ministries of health and private insurance companies). Herein, the authors report on the discussions during this workshop and list strategies to enhance the use of EEN as a treatment option in the treatment of pediatric CD in Canada. |
| format | Article |
| id | doaj-art-29698a2854f74286b4637da89df1058e |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-29698a2854f74286b4637da89df1058e2025-02-03T01:24:22ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972015-01-0129735135610.1155/2015/509497Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and EnablersJohan Van Limbergen0Jennifer Haskett1Anne M Griffiths2Jeff Critch3Hien Huynh4Najma Ahmed5Jennifer C deBruyn6Robert Issenman7Wael El-Matary8Thomas D Walters9Cheryl Kluthe10Marie-Eve Roy11Elizabeth Sheppard12Wallace V Crandall13Stan Cohen14Frank M Ruemmele15Arie Levine16Anthony R Otley17Division of Gastroenterology & Nutrition, Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, CanadaDivision of Gastroenterology & Nutrition, Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, CanadaDivision of Pediatric Gastoenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, Ontario, CanadaDivision of Pediatric Gastroenterology, Janeway Child Health Centre, St John’s, Newfoundland & Labrador, Edmonton, Alberta, CanadaDivision of Pediatric Gastroenterology, Stollery Children’s Hospital, University of Alberta, Edmonton, Alberta, CanadaDivision of Pediatric Gastroenterology and Nutrition, Department of Pediatrics, Montreal Children’s Hospital, McGill University, Montreal, Quebec, CanadaDivision of Gastroenterology and Nutrition, Department of Paediatrics, University of Calgary, Calgary, Alberta, CanadaDivision of Pediatric Gastroenterology and Nutrition, McMaster Children’s Hospital, Hamilton, Ontario, CanadaSection of Pediatric Gastroenterology, Department of Pediatrics, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaDivision of Pediatric Gastoenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, Ontario, CanadaDivision of Pediatric Gastroenterology, Stollery Children’s Hospital, University of Alberta, Edmonton, Alberta, CanadaDepartment of Pediatric Gastroenterology, Hepatology and Nutrition, Centre Hospitalier Universitaire Sainte-Justine, Montréal, Québec, CanadaDivision of Pediatric Gastroenterology, Janeway Child Health Centre, St John’s, Newfoundland & Labrador, Edmonton, Alberta, CanadaDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Nationwide Children’s Hospital and The Ohio State University, Columbus, Ohio, USAChildren’s Center for Digestive Health Care, Children’s Healthcare of Atlanta, Atlanta, Georgia, USAUniversité Sorbonne Paris Cité, Université Paris Descartes, INSERM U989, Service de Gastroentérologie Pédiatrique, Hôpital Necker Enfants Malades, Paris, FrancePediatric Gastroenterology and Nutrition Unit, Wolfson Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, IsraelDivision of Gastroenterology & Nutrition, Department of Pediatrics, IWK Health Centre, Halifax, Nova Scotia, CanadaThe treatment armamentarium in pediatric Crohn disease (CD) is very similar to adult-onset CD with the notable exception of the use of exclusive enteral nutrition (EEN [the administration of a liquid formula diet while excluding normal diet]), which is used more frequently by pediatric gastroenterologists to induce remission. In pediatric CD, EEN is now recommended by the pediatric committee of the European Crohn’s and Colitis Organisation and the European Society for Paediatric Gastroenterology Hepatology and Nutrition as a first-choice agent to induce remission, with remission rates in pediatric studies consistently >75%. To chart and address enablers and barriers of use of EEN in Canada, a workshop was held in September 2014 in Toronto (Ontario), inviting pediatric gastroenterologists, nurses and dietitians from most Canadian pediatric IBD centres as well as international faculty from the United States and Europe with particular research and clinical expertise in the dietary management of pediatric CD. Workshop participants ranked the exclusivity of enteral nutrition; the health care resources; and cost implications as the top three barriers to its use. Conversely, key enablers mentioned included: standardization and sharing of protocols for use of enteral nutrition; ensuring sufficient dietetic resources; and reducing the cost of EEN to the family (including advocacy for reimbursement by provincial ministries of health and private insurance companies). Herein, the authors report on the discussions during this workshop and list strategies to enhance the use of EEN as a treatment option in the treatment of pediatric CD in Canada.http://dx.doi.org/10.1155/2015/509497 |
| spellingShingle | Johan Van Limbergen Jennifer Haskett Anne M Griffiths Jeff Critch Hien Huynh Najma Ahmed Jennifer C deBruyn Robert Issenman Wael El-Matary Thomas D Walters Cheryl Kluthe Marie-Eve Roy Elizabeth Sheppard Wallace V Crandall Stan Cohen Frank M Ruemmele Arie Levine Anthony R Otley Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers Canadian Journal of Gastroenterology and Hepatology |
| title | Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers |
| title_full | Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers |
| title_fullStr | Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers |
| title_full_unstemmed | Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers |
| title_short | Toward Enteral Nutrition in the Treatment of Pediatric Crohn Disease in Canada: A Workshop to Identify Barriers and Enablers |
| title_sort | toward enteral nutrition in the treatment of pediatric crohn disease in canada a workshop to identify barriers and enablers |
| url | http://dx.doi.org/10.1155/2015/509497 |
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